Organization · NPI-2

412 Hometown Chiropractic

Chiropractor, Independent Medical Examiner · West Mifflin, PA

NPI number1811738636
StatusActive
Last updated in NPPESJun 20, 2024

Details

NPI
1811738636
Entity type
Organization (NPI-2)
Legal business name
412 Hometown Chiropractic
Organization subpart
No
Enumeration date
Jun 5, 2024
Certification date
Jun 20, 2024
Last updated
Jun 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111NI0013X Chiropractor, Independent Medical Examiner––Yes

Practice location

2407 Pennsylvania Ave Ste A
West Mifflin, PA 15122-3629

Phone 412-480-1607

Mailing address

2407 Pennsylvania Ave Ste A
West Mifflin, PA 15122-3629

Phone 412-480-1607

Authorized official

Tricia Speicher
Billing
4124801607

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